Individual
MAXWELL SEAN LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16 N PEORIA ST, CHICAGO, IL 60607-2609
(217) 741-5322
Mailing address
343 W WOLF POINT PLZ UNIT 1911, CHICAGO, IL 60654-0189
(217) 741-5322
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013744
IL
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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